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Deficiency Records for Pavilion Health Center at Brightmore
View the most recent health deficiencies and inspection results for Pavilion Health Center at Brightmore. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pavilion Health Center at Brightmore. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-03 | 2025-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-03 | 2025-07-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-03 | 2025-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-03 | 2025-07-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-03 | 2025-07-11 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-03 | 2025-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-26 | 2024-07-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-26 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-26 | 2024-07-19 | N |
| Have an externally vented heating system. | Fire Safety | 2024-03-26 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-07-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-26 | 2024-04-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-26 | 2024-04-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-26 | 2024-04-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-26 | 2024-04-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-26 | 2024-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-26 | 2024-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-26 | 2024-04-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-26 | 2024-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-26 | 2024-04-18 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-26 | 2024-04-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-26 | 2024-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-26 | 2024-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-26 | 2024-04-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-26 | 2024-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-26 | 2024-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-26 | 2024-04-18 | Y |
| Post nurse staffing information every day. | Health | 2024-03-26 | 2024-04-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-26 | 2024-01-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-12-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-29 | 2022-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-29 | 2022-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-10-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-09 | Not Fixed | Y |